“Don't rely on the old step-wise approach, ... The next time you see a patient who has been diabetic for 10 years, you probably have to be more aggressive.”
“[The Diabetes In Canada Evaluation study (DICE) was a national, cross-sectional study looking at diabetes control in family practice. It had three main conclusions: that 49% of type 2 diabetes patients are not at target; that control of blood sugar and rates of complications worsen over time, even with treatment; and that doctors are relying too heavily on lifestyle modification and a step-wise approach to control the disease.] We are kind of relying on the old standbys that are tried and true. They're not so true, actually, ... Be more aggressive; be more aggressive early.”
